HomeMy WebLinkAbout1414 Sheep Creek Ct - Applications/Water Heater - 12/08/2016Planning, D�avelopj-jlent
28;. N. College Ave P.O. So;:
Fort Collins, Cc) 8052-1
Phone 970-d 16-2740 Fa% 1-1 -513-!
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;S Used to apply for the Following pen -nits only!check afl that apply). 1.1 A:; ('riliclitir"; I i
(jntoj-jol- J-1on-Sti-LiftIF21) D Electrical Alteration (not service change) Cl Gas Lighter i Gas
Unit Ci Lawn Sprinkler 0 Mobile Home replacement El Roofing 0 Sewer Line 1i
Veojlalion L \Na�er Heater 0 Water Line 0 Wood/Pellet Stove (must be EPA carffied, provide nil.1R,-!
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n,pleta jppjjcat3ons will not be -tccapl�%I:
-riation on itade applic - 0 Inco
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Date
7n, u.5-a cniv
Value of ConstruCtjon O"ibor,
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P.ra :rty Owner Name Address Cily/State Zip
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4-plit"'alit Name- Address Clty/sta'L-e
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Address
t
it;-acilol- City of FL. Collins Sal6s Tax A
;j I It I js rXIiihod bi all wlnn.actors.
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City/State zip 7ji lot I-:.
Are you paying taxes here or by rep
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Are YOU paying with your LRISL aCCOUnt? N1 es No
1t; ;S r1 1-sido idal ur commercial project? E5<esidential FJ Commercial
`r.k::'i ii is it: Single Family Detached Condo/townhorn e (single family attached) 0 1-)L'pl,-,'
0 MUitifamily (apartment) 0 Garage Office
it: El F-]p Bank ❑ 'ar D Church 0 ljotel/Moltel El Medical office EJ EJ Retail
0 Restaurant 0 other (explain)
-nore? P -P V vvtif ai)
icilj:!�o 5'o years or cage or 1 0 Yes El No if yes you n7a,v need to contact Hisroa(, I I
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what year was the building 00115blicled?
i ipviol I of wol ------ - e*-1-
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Prcveni:Er, must' list licensed PILUTIber. If first' -Lime A/C, must list licensed e1r.
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that I have rcad this applica Lion and state that the above information is complete and
CO]ILF-firied herein and city ordinances and state laws regulating building cortstrudic.o. I kr,•:-qv triF.
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